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On Sabbatical 26 Aug 2013 | 04:37 pm

I will be sparsely interacting with the internet as I take my last child off to college this week.  It's a strange time - one where the home becomes more quiet as a moment ends for the parent yet hera...

The Cloudy Aspects of the Physician Payment Sunshine Act 24 Aug 2013 | 07:42 pm

Another seemingly harmless bureaucratic initiative aimed at physicians sunk its taproot deep in the daily workings of medicine this month. The Physician Payment Sunshine Act promises transparency in a...

Why Do I Try So Hard? 22 Aug 2013 | 12:21 am

It's always the same: It's the fifth hour of the procedure. As your ankles ache and the perspiration drips beneath your lead, you stand there wondering why you try so hard to fix this arrhythmia. You ...

When Placing a Pacemaker, You Know You're on the Wrong Side When 17 Aug 2013 | 02:51 am

... your wires look like this:  AP fluoroscopic view  ... and the venogram looks like this:  Results of a left subclavian venogram  -Wes

Heart Check Indeed: American Heart Association and Campbell Soup Company Sued 15 Aug 2013 | 08:06 am

From Bloomberg: Campbell Soup Company and the American Heart Association (AHA) were sued by a consumer who claimed the AHA fraudulently certifies the company’s products as healthy. The association l...

EKG Du Jour 32: The Misfiring Pacemaker 13 Aug 2013 | 05:50 pm

A dual chamber pacemaker was implanted the prior day by a local surgeon in the operating room.  The next morning, an EKG is obtained that showed the following: Click to enlarge You checked the CXR a...

Marketing Shared Patient Appointments 9 Aug 2013 | 09:33 pm

As health care reform kicks in to high gear, a new innovation in health care delivery is being touted at Cleveland Clinic: shared patient appointments. On the surface, this idea seems so efficient and...

A Case of Fraud 3 Aug 2013 | 07:08 pm

He was a slender-framed man, mid- to late-sixties, with a kind of ridden-hard-put-away-wet complexion.  It was clear the years had not always been good to him, but being the kind soul that he was, he ...

Images of Change: The Patient Appointment 2 Aug 2013 | 04:00 pm

Time Discarded Submitted as part of Image of Change: A Health Care Evolution Photo Contest. Feel free to submit yours (Instructions at the link).  -Wes

Images of Change: Clicking is Caring 1 Aug 2013 | 08:00 pm

 “The secret of the care of the patient is in caring for the patient.” - F. Peabody  Submitted as part of Image of Change: A Health Care Evolution Photo Contest. Feel free to submit yours (Instru....

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